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MRS. JENNIFER BETH COSTELLO LICSW
NPI 1205091832
Social Worker - Clinical in Upton, MA

Active since July 23, 2008Opted out of Medicare · through Apr 28, 2028
11 GLENVIEW ST, UPTON, MA 01568(774) 219-3941 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2020, Sep 9, 2020 (2 updates tracked since 2020).

About Mrs. Jennifer Beth Costello Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER BETH COSTELLO LICSW (NPI 1205091832) is an individual clinical provider in Upton, Massachusetts, licensed in Massachusetts (116826) and active in the NPI registry since July 2008. She has opted out of Medicare through April 28, 2028 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205091832
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JENNIFER BETH COSTELLOCredential: LICSW
Location Address11 GLENVIEW STUpton, MA 01568-1336
Mailing Address11 Glenview StUpton, MA 01568-1336 · (774) 219-3941
Phone(774) 219-3941
Sole ProprietorNo
Enumeration DateJuly 23, 2008
Last NPPES UpdateOctober 9, 20202 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
✔ NPI 1205091832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MA · 116826
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
11 GLENVIEW ST, Upton, MA 01568
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Other Names 1

Former Name (1)Ms. Jennifer Beth Good Licsw

Secondary Practice Locations 3

Location 11 Taunton GrnTaunton, MA 02780-3225 · Phone (508) 822-4027
Location 27 Dean StTaunton, MA 02780-2725 · Phone (508) 822-0006 ext. 211 · Fax (508) 880-8627
Location 3288 West St Ste 3BMilford, MA 01757-1234 · Phone (774) 219-3941

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jennifer Beth Costello Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 28, 2022 through April 28, 2028.

Opt-Out Effective DateApril 28, 2022
Opt-Out In Effect ThroughApril 28, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Costello's NPI number?

The NPI number for Jennifer Costello is 1205091832. It was assigned to this individual provider in the NPPES registry on July 23, 2008. The provider is also known as Ms. Jennifer Beth Good Licsw.

Where is Jennifer Costello located?

Jennifer Costello practices at 11 Glenview St, Upton, MA 01568. The listed phone number is (774) 219-3941.

What is Jennifer Costello's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Costello enrolled in Medicare?

No. Jennifer Costello has opted out of Medicare through April 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jennifer Costello accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jennifer Costello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Costello was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.